SlideShare a Scribd company logo
1 of 29
Download to read offline
NEONATAL REFLEXES

      Dr. Balbirsingh
      J.L.N.Hospital Research centre,
      Bhilai Steel Plant
INTRODUCTION
   Actions in response to specific stimuli that are
    present in newborn infants.

   These are unconditioned reflexes and not learned
    or developed through experience.

   Normally developing neonates or infants are
    expected to respond to specific stimuli with a
    specific, predictable behaviour or action.
MORO’S REFLEXE
ELICITED BY :

PLACING THE BABY IN SEMI UPRIGHT POSITION

                       ↓
SUDDEN DROPING OF HEAD IN RELATION TO TRUNK
  AND CATCHING THE FALLING HEAD

DISAPPEARS AT 3 TO 6 MTHS
RESPONSE


   OPENING OF HAND

   EXTENSION AND ABDUTION OF UPPER EXTRIMITIES

   ANTERIOR FLEXION OF UPPER EXTRIMITIES

   AUDIBLE CRY
ABNORMALITIES:

DEPRESSED OR ABSENT
     GENERALISED DEPRESSION OF CNS



ASYMMETRICAL RESPONSE
     FRACTURE CLAVICLE
     ERB PALSY
     HEMIPARESIS


EXAGERGERATED RESPONSE
     KERNECTERUS
STARTLE REFLEX

   It is variant of Moro’s Reflex.

   Ellicited by: sudden loud noise or by
    tapping the sternum

   Response is like Moro’s reflex but
    elbow remain flexed and hands closed
PALMER GRASP
 Elicited By: Placing finger or object in open
  palm of each hand
 Response: Infant grasp the object and with
  attempted removal grip reinforced
   Appears at 28 weeks of gestation and
    disappears at 2-3 months of life

   Persistence beyond 6mths: Athetoid
    CP
TONIC NECK REFLEX
ASYMMETRIC TONIC NECK REFLEX
   Elicited By: Passive rotation of head in supine
      position
   Response: Extension of upper limb of same
     side and flexion of upper limb of opposite side
   Appears at birth and disappear at 3
    months

   Persistence > 3 months: Spastic CP

   Importance: Prevents body from
    rolling
TONIC NECK REFLEX
SYMMETRIC TONIC NECK REFLEX

      Elicited By: Passive extension of head in
       prone position
      Response: Extension of both UL & flexion of
       both LL
   Appears in 3 mths and disappear in 6mths
   Persistence > 6mths : CP


Importance: When baby learn to turn to prone
  position chocking over bed may asphyxiate him so
  if baby lift his chin by extension of neck both upper
  limbs extend automatically and chocking avoided.
GALANT REFLEX
   Elicited By: Holding the child in ventral
    suspension or placed in prone position and
    running finger down in paravertebral area on
    one side
   Response: Swinging of pelvis towards
    stimulated side
   Appears at birth disappear by 1 year

   Used for mapping sensory level of
    trunk
PEREZ REFLEX

   Elicited By: Holding the child in prone
    position and pressure applied upword
    along spine.

   Response: Flexion of arms and legs
    with extension of neck and cry

   Appear at birth and disappear at 6
    weeks
TRACTION RESPONSE

 Grasp the baby at his wrist and finger
  and pull to sit
 Response: Certain degree of head
  control is demonstrated and head is
  brought forward actively
ADDUCTION RESPONSE

   Elicited by: holding leg of baby in extension
    and sole of foot is rubbed

   Response: the other leg first withdraw and
    then extend with fanning of toes and bring
    toward the side of stimulation (as to push the
    noxious stimulus)
ROOTING REFLEX
                 (SEARCH REFLEX)
 Elicited By: Touching the corner of mouth
  lightly with finger
 Response: Bottom lip is lowered on same
  side and tongue moves towards the point of
  stimulation as finger slides away head turns
  to find it.
Appear 28 week & disappear 4-7 mths

Importance:
   Absence at birth and persistence beyond 7
   months indicate developmental delay


   Helps the baby for finding the breast
SUCKING REFLEX

 Elicited By: Introducing finger into babies
  mouth
 Response: Baby starts sucking vigorously

 Appear at 28 week disappear at 4-7 months

 Absence sucking at birth indicate sickness,
  persistence beyond 7 mths developmental
  delay
LANDAU REFLEX

 Elicited By: Holding the child in ventral
  suspension
 Response: Extension of head, spine
  and legs
   Appear at 3 months disappear at 9
    months

   Absence beyond 3 mths indicate motor
    weakness, mental sub normality & CP
PARACHUTE REFLEX

 Elicited By: Holding the child in ventral
  suspension and suddenly brought down
  the baby towards ground from height
 Response: Extension of both UL in
  attempt to avoid injury
   Appears at 6-9 months persists life
    long.

   Absent in CP and hemiplegia of
    affected limb
PLACING REFLEX

 Elicited by: Bringing the anterior aspect of tibia
  against edge of table
 Response: Lifts leg on the table



   Appear at birth and disapper
     at 6 weeks.
WALKING REFLEX

   Elicited by: holding the baby
    upright over the table so that sole
    of foot presses against the table

   Response: Reciprocal flexion and
    extension of leg simulating
    walking
   Appears at birth and disappear at
    6 week
PALMOMENTAL REFLEX

   Elicited by: Pressing the palm

   Response: Opening of mouth

   Appear at birth and disappear
    at 3 year
CONCLUSION

Knowledge of neonatal reflexes is important for
   Understanding the human development as a
     whole.
   Application for over all assessment of baby
   Recognition of possible neurodevelopemental
     damage in prenatal and perinatal period.
   Establishment of the prognosis for future
   Predicting the Childs future potential
THANKS

More Related Content

What's hot (20)

Mylomeningocele
MylomeningoceleMylomeningocele
Mylomeningocele
 
Neonatal jaundice - 2017
Neonatal jaundice   - 2017Neonatal jaundice   - 2017
Neonatal jaundice - 2017
 
Meconium aspiration syndrome_
Meconium aspiration syndrome_Meconium aspiration syndrome_
Meconium aspiration syndrome_
 
Spinal Bifida
Spinal BifidaSpinal Bifida
Spinal Bifida
 
Preterm
PretermPreterm
Preterm
 
Club foot
Club footClub foot
Club foot
 
Low birth weight
Low birth weightLow birth weight
Low birth weight
 
Guillain Barre Syndrome
Guillain Barre SyndromeGuillain Barre Syndrome
Guillain Barre Syndrome
 
Ppt on developmental delay
Ppt on developmental delayPpt on developmental delay
Ppt on developmental delay
 
LOW BIRTH WEIGHT BABY
LOW BIRTH WEIGHT BABYLOW BIRTH WEIGHT BABY
LOW BIRTH WEIGHT BABY
 
Antenatal care
Antenatal careAntenatal care
Antenatal care
 
Reflexes present at birth
Reflexes present at birthReflexes present at birth
Reflexes present at birth
 
Guillain-Barré syndrome (GBS)
Guillain-Barré syndrome (GBS)Guillain-Barré syndrome (GBS)
Guillain-Barré syndrome (GBS)
 
Cerebral palsy
Cerebral palsyCerebral palsy
Cerebral palsy
 
Baby Friendly Hospital Initiatives (BFHI)
Baby Friendly Hospital Initiatives (BFHI)Baby Friendly Hospital Initiatives (BFHI)
Baby Friendly Hospital Initiatives (BFHI)
 
Meningitis In Children
Meningitis  In ChildrenMeningitis  In Children
Meningitis In Children
 
Apgar score
Apgar scoreApgar score
Apgar score
 
Stages of Normal Labor- easy explanation
Stages of Normal Labor- easy explanationStages of Normal Labor- easy explanation
Stages of Normal Labor- easy explanation
 
Failure to thrive
Failure to thriveFailure to thrive
Failure to thrive
 
Apgar score
Apgar scoreApgar score
Apgar score
 

Similar to NNR

neonatal reflexes case presentation.pptx
neonatal reflexes case presentation.pptxneonatal reflexes case presentation.pptx
neonatal reflexes case presentation.pptxIndhujaKarunakaran2
 
Neonatal reflexes by baneet
Neonatal reflexes  by baneetNeonatal reflexes  by baneet
Neonatal reflexes by baneetBaneet Sharma
 
Primitive reflexes
Primitive reflexesPrimitive reflexes
Primitive reflexesDpt Memon
 
Full portfolio
Full portfolioFull portfolio
Full portfolioSamhaley16
 
Reflexes-lec3.pptx
Reflexes-lec3.pptxReflexes-lec3.pptx
Reflexes-lec3.pptxSaniaSaeed56
 
Reflexes-lec3.pptx
Reflexes-lec3.pptxReflexes-lec3.pptx
Reflexes-lec3.pptxSaniaSaeed56
 
Primitive Reflexes.pdf
Primitive Reflexes.pdfPrimitive Reflexes.pdf
Primitive Reflexes.pdfDrYeshaVashi
 
newbornReflexes
newbornReflexesnewbornReflexes
newbornReflexeskirukki
 
Examination of CRANIAL NERVES AND MOTOR SYSTEM OF CHILDREN FOR Undergraduate ...
Examination of CRANIAL NERVES AND MOTOR SYSTEM OF CHILDREN FOR Undergraduate ...Examination of CRANIAL NERVES AND MOTOR SYSTEM OF CHILDREN FOR Undergraduate ...
Examination of CRANIAL NERVES AND MOTOR SYSTEM OF CHILDREN FOR Undergraduate ...ANJANA B.S.
 
Human Development-Chapter 7-Physical Development of Infants
Human Development-Chapter 7-Physical Development of InfantsHuman Development-Chapter 7-Physical Development of Infants
Human Development-Chapter 7-Physical Development of Infantsbartlettfcs
 
Life span development
Life span developmentLife span development
Life span developmentWaki Mori
 
Newborn Reflex.pptx
Newborn Reflex.pptxNewborn Reflex.pptx
Newborn Reflex.pptxAnik Pal
 

Similar to NNR (20)

neonatal reflexes case presentation.pptx
neonatal reflexes case presentation.pptxneonatal reflexes case presentation.pptx
neonatal reflexes case presentation.pptx
 
neonatal reflex.pptx
neonatal reflex.pptxneonatal reflex.pptx
neonatal reflex.pptx
 
Neonatal reflexes by baneet
Neonatal reflexes  by baneetNeonatal reflexes  by baneet
Neonatal reflexes by baneet
 
Primitive reflexes
Primitive reflexesPrimitive reflexes
Primitive reflexes
 
Primitive Reflexes.pptx
Primitive Reflexes.pptxPrimitive Reflexes.pptx
Primitive Reflexes.pptx
 
Reflex
ReflexReflex
Reflex
 
Reflexes present in infants
Reflexes present in infantsReflexes present in infants
Reflexes present in infants
 
Full portfolio
Full portfolioFull portfolio
Full portfolio
 
Primitive reflexes
Primitive reflexes Primitive reflexes
Primitive reflexes
 
Examination of neonate
Examination of neonateExamination of neonate
Examination of neonate
 
Reflexes-lec3.pptx
Reflexes-lec3.pptxReflexes-lec3.pptx
Reflexes-lec3.pptx
 
Reflexes-lec3.pptx
Reflexes-lec3.pptxReflexes-lec3.pptx
Reflexes-lec3.pptx
 
Neonatal Reflex
Neonatal ReflexNeonatal Reflex
Neonatal Reflex
 
Primitive Reflexes.pdf
Primitive Reflexes.pdfPrimitive Reflexes.pdf
Primitive Reflexes.pdf
 
newbornReflexes
newbornReflexesnewbornReflexes
newbornReflexes
 
Examination of CRANIAL NERVES AND MOTOR SYSTEM OF CHILDREN FOR Undergraduate ...
Examination of CRANIAL NERVES AND MOTOR SYSTEM OF CHILDREN FOR Undergraduate ...Examination of CRANIAL NERVES AND MOTOR SYSTEM OF CHILDREN FOR Undergraduate ...
Examination of CRANIAL NERVES AND MOTOR SYSTEM OF CHILDREN FOR Undergraduate ...
 
Human Development-Chapter 7-Physical Development of Infants
Human Development-Chapter 7-Physical Development of InfantsHuman Development-Chapter 7-Physical Development of Infants
Human Development-Chapter 7-Physical Development of Infants
 
Life span development
Life span developmentLife span development
Life span development
 
reflex
reflexreflex
reflex
 
Newborn Reflex.pptx
Newborn Reflex.pptxNewborn Reflex.pptx
Newborn Reflex.pptx
 

More from Ajay Agade (20)

Ppt fl & el
Ppt fl & elPpt fl & el
Ppt fl & el
 
Cmp
CmpCmp
Cmp
 
Af
AfAf
Af
 
Macid and Malk
Macid and MalkMacid and Malk
Macid and Malk
 
Ebl
EblEbl
Ebl
 
Frsh
FrshFrsh
Frsh
 
Stat
StatStat
Stat
 
Ag
AgAg
Ag
 
Ldp
LdpLdp
Ldp
 
Honc
HoncHonc
Honc
 
Pbs
PbsPbs
Pbs
 
05 peripheral blood smear examination
05 peripheral blood smear examination 05 peripheral blood smear examination
05 peripheral blood smear examination
 
Ren
RenRen
Ren
 
Cd
CdCd
Cd
 
Os grp
Os grpOs grp
Os grp
 
Pe
PePe
Pe
 
Presentation1
Presentation1Presentation1
Presentation1
 
Nsi
NsiNsi
Nsi
 
Pdd
PddPdd
Pdd
 
Abg
AbgAbg
Abg
 

Recently uploaded

5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...CaraSkikne1
 
How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17Celine George
 
Easter in the USA presentation by Chloe.
Easter in the USA presentation by Chloe.Easter in the USA presentation by Chloe.
Easter in the USA presentation by Chloe.EnglishCEIPdeSigeiro
 
How to Make a Field read-only in Odoo 17
How to Make a Field read-only in Odoo 17How to Make a Field read-only in Odoo 17
How to Make a Field read-only in Odoo 17Celine George
 
M-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptxM-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptxDr. Santhosh Kumar. N
 
CAULIFLOWER BREEDING 1 Parmar pptx
CAULIFLOWER BREEDING 1 Parmar pptxCAULIFLOWER BREEDING 1 Parmar pptx
CAULIFLOWER BREEDING 1 Parmar pptxSaurabhParmar42
 
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptxPISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptxEduSkills OECD
 
How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17Celine George
 
Education and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxEducation and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxraviapr7
 
Practical Research 1 Lesson 9 Scope and delimitation.pptx
Practical Research 1 Lesson 9 Scope and delimitation.pptxPractical Research 1 Lesson 9 Scope and delimitation.pptx
Practical Research 1 Lesson 9 Scope and delimitation.pptxKatherine Villaluna
 
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfP4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfYu Kanazawa / Osaka University
 
General views of Histopathology and step
General views of Histopathology and stepGeneral views of Histopathology and step
General views of Histopathology and stepobaje godwin sunday
 
Drug Information Services- DIC and Sources.
Drug Information Services- DIC and Sources.Drug Information Services- DIC and Sources.
Drug Information Services- DIC and Sources.raviapr7
 
The Stolen Bacillus by Herbert George Wells
The Stolen Bacillus by Herbert George WellsThe Stolen Bacillus by Herbert George Wells
The Stolen Bacillus by Herbert George WellsEugene Lysak
 
Diploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfDiploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfMohonDas
 
Ultra structure and life cycle of Plasmodium.pptx
Ultra structure and life cycle of Plasmodium.pptxUltra structure and life cycle of Plasmodium.pptx
Ultra structure and life cycle of Plasmodium.pptxDr. Asif Anas
 
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxAUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxiammrhaywood
 
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptxSandy Millin
 
Philosophy of Education and Educational Philosophy
Philosophy of Education  and Educational PhilosophyPhilosophy of Education  and Educational Philosophy
Philosophy of Education and Educational PhilosophyShuvankar Madhu
 

Recently uploaded (20)

5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...5 charts on South Africa as a source country for international student recrui...
5 charts on South Africa as a source country for international student recrui...
 
How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17How to Add a many2many Relational Field in Odoo 17
How to Add a many2many Relational Field in Odoo 17
 
Easter in the USA presentation by Chloe.
Easter in the USA presentation by Chloe.Easter in the USA presentation by Chloe.
Easter in the USA presentation by Chloe.
 
How to Make a Field read-only in Odoo 17
How to Make a Field read-only in Odoo 17How to Make a Field read-only in Odoo 17
How to Make a Field read-only in Odoo 17
 
M-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptxM-2- General Reactions of amino acids.pptx
M-2- General Reactions of amino acids.pptx
 
CAULIFLOWER BREEDING 1 Parmar pptx
CAULIFLOWER BREEDING 1 Parmar pptxCAULIFLOWER BREEDING 1 Parmar pptx
CAULIFLOWER BREEDING 1 Parmar pptx
 
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptxPISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
PISA-VET launch_El Iza Mohamedou_19 March 2024.pptx
 
How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17How to Add a New Field in Existing Kanban View in Odoo 17
How to Add a New Field in Existing Kanban View in Odoo 17
 
Education and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptxEducation and training program in the hospital APR.pptx
Education and training program in the hospital APR.pptx
 
Practical Research 1 Lesson 9 Scope and delimitation.pptx
Practical Research 1 Lesson 9 Scope and delimitation.pptxPractical Research 1 Lesson 9 Scope and delimitation.pptx
Practical Research 1 Lesson 9 Scope and delimitation.pptx
 
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdfP4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
P4C x ELT = P4ELT: Its Theoretical Background (Kanazawa, 2024 March).pdf
 
General views of Histopathology and step
General views of Histopathology and stepGeneral views of Histopathology and step
General views of Histopathology and step
 
Drug Information Services- DIC and Sources.
Drug Information Services- DIC and Sources.Drug Information Services- DIC and Sources.
Drug Information Services- DIC and Sources.
 
Prelims of Kant get Marx 2.0: a general politics quiz
Prelims of Kant get Marx 2.0: a general politics quizPrelims of Kant get Marx 2.0: a general politics quiz
Prelims of Kant get Marx 2.0: a general politics quiz
 
The Stolen Bacillus by Herbert George Wells
The Stolen Bacillus by Herbert George WellsThe Stolen Bacillus by Herbert George Wells
The Stolen Bacillus by Herbert George Wells
 
Diploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdfDiploma in Nursing Admission Test Question Solution 2023.pdf
Diploma in Nursing Admission Test Question Solution 2023.pdf
 
Ultra structure and life cycle of Plasmodium.pptx
Ultra structure and life cycle of Plasmodium.pptxUltra structure and life cycle of Plasmodium.pptx
Ultra structure and life cycle of Plasmodium.pptx
 
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptxAUDIENCE THEORY -- FANDOM -- JENKINS.pptx
AUDIENCE THEORY -- FANDOM -- JENKINS.pptx
 
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
2024.03.23 What do successful readers do - Sandy Millin for PARK.pptx
 
Philosophy of Education and Educational Philosophy
Philosophy of Education  and Educational PhilosophyPhilosophy of Education  and Educational Philosophy
Philosophy of Education and Educational Philosophy
 

NNR

  • 1. NEONATAL REFLEXES Dr. Balbirsingh J.L.N.Hospital Research centre, Bhilai Steel Plant
  • 2. INTRODUCTION  Actions in response to specific stimuli that are present in newborn infants.  These are unconditioned reflexes and not learned or developed through experience.  Normally developing neonates or infants are expected to respond to specific stimuli with a specific, predictable behaviour or action.
  • 3. MORO’S REFLEXE ELICITED BY : PLACING THE BABY IN SEMI UPRIGHT POSITION ↓ SUDDEN DROPING OF HEAD IN RELATION TO TRUNK AND CATCHING THE FALLING HEAD DISAPPEARS AT 3 TO 6 MTHS
  • 4. RESPONSE  OPENING OF HAND  EXTENSION AND ABDUTION OF UPPER EXTRIMITIES  ANTERIOR FLEXION OF UPPER EXTRIMITIES  AUDIBLE CRY
  • 5. ABNORMALITIES: DEPRESSED OR ABSENT  GENERALISED DEPRESSION OF CNS ASYMMETRICAL RESPONSE  FRACTURE CLAVICLE  ERB PALSY  HEMIPARESIS EXAGERGERATED RESPONSE  KERNECTERUS
  • 6. STARTLE REFLEX  It is variant of Moro’s Reflex.  Ellicited by: sudden loud noise or by tapping the sternum  Response is like Moro’s reflex but elbow remain flexed and hands closed
  • 7. PALMER GRASP  Elicited By: Placing finger or object in open palm of each hand  Response: Infant grasp the object and with attempted removal grip reinforced
  • 8. Appears at 28 weeks of gestation and disappears at 2-3 months of life  Persistence beyond 6mths: Athetoid CP
  • 9. TONIC NECK REFLEX ASYMMETRIC TONIC NECK REFLEX  Elicited By: Passive rotation of head in supine position  Response: Extension of upper limb of same side and flexion of upper limb of opposite side
  • 10. Appears at birth and disappear at 3 months  Persistence > 3 months: Spastic CP  Importance: Prevents body from rolling
  • 11. TONIC NECK REFLEX SYMMETRIC TONIC NECK REFLEX  Elicited By: Passive extension of head in prone position  Response: Extension of both UL & flexion of both LL
  • 12. Appears in 3 mths and disappear in 6mths  Persistence > 6mths : CP Importance: When baby learn to turn to prone position chocking over bed may asphyxiate him so if baby lift his chin by extension of neck both upper limbs extend automatically and chocking avoided.
  • 13. GALANT REFLEX  Elicited By: Holding the child in ventral suspension or placed in prone position and running finger down in paravertebral area on one side  Response: Swinging of pelvis towards stimulated side
  • 14. Appears at birth disappear by 1 year  Used for mapping sensory level of trunk
  • 15. PEREZ REFLEX  Elicited By: Holding the child in prone position and pressure applied upword along spine.  Response: Flexion of arms and legs with extension of neck and cry  Appear at birth and disappear at 6 weeks
  • 16. TRACTION RESPONSE  Grasp the baby at his wrist and finger and pull to sit  Response: Certain degree of head control is demonstrated and head is brought forward actively
  • 17. ADDUCTION RESPONSE  Elicited by: holding leg of baby in extension and sole of foot is rubbed  Response: the other leg first withdraw and then extend with fanning of toes and bring toward the side of stimulation (as to push the noxious stimulus)
  • 18. ROOTING REFLEX (SEARCH REFLEX)  Elicited By: Touching the corner of mouth lightly with finger  Response: Bottom lip is lowered on same side and tongue moves towards the point of stimulation as finger slides away head turns to find it.
  • 19. Appear 28 week & disappear 4-7 mths Importance:  Absence at birth and persistence beyond 7 months indicate developmental delay  Helps the baby for finding the breast
  • 20. SUCKING REFLEX  Elicited By: Introducing finger into babies mouth  Response: Baby starts sucking vigorously  Appear at 28 week disappear at 4-7 months  Absence sucking at birth indicate sickness, persistence beyond 7 mths developmental delay
  • 21. LANDAU REFLEX  Elicited By: Holding the child in ventral suspension  Response: Extension of head, spine and legs
  • 22. Appear at 3 months disappear at 9 months  Absence beyond 3 mths indicate motor weakness, mental sub normality & CP
  • 23. PARACHUTE REFLEX  Elicited By: Holding the child in ventral suspension and suddenly brought down the baby towards ground from height  Response: Extension of both UL in attempt to avoid injury
  • 24. Appears at 6-9 months persists life long.  Absent in CP and hemiplegia of affected limb
  • 25. PLACING REFLEX  Elicited by: Bringing the anterior aspect of tibia against edge of table  Response: Lifts leg on the table  Appear at birth and disapper at 6 weeks.
  • 26. WALKING REFLEX  Elicited by: holding the baby upright over the table so that sole of foot presses against the table  Response: Reciprocal flexion and extension of leg simulating walking  Appears at birth and disappear at 6 week
  • 27. PALMOMENTAL REFLEX  Elicited by: Pressing the palm  Response: Opening of mouth  Appear at birth and disappear at 3 year
  • 28. CONCLUSION Knowledge of neonatal reflexes is important for  Understanding the human development as a whole.  Application for over all assessment of baby  Recognition of possible neurodevelopemental damage in prenatal and perinatal period.  Establishment of the prognosis for future  Predicting the Childs future potential